Individual
MRS. SANDRA MINNICK OLIVERIO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MS, RD, CD
Contact information
Practice address
2325 18TH ST, SUITE 210, COLUMBUS, IN 47201-5388
(812) 375-0272
(812) 375-1093
Mailing address
2325 18TH ST, SUITE 210, COLUMBUS, IN 47201-5388
(812) 375-0272
(812) 375-1093
Taxonomy
Speciality
Code
Description
License number
State
133VN1005X
Renal Nutrition Registered Dietitian
Primary
37000553A
IN
Other
Enumeration date
06/26/2013
Last updated
06/26/2013
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